169
Visa
Master
Card
C.O.D., Money Order or Cashier Check
Cashiers Check or Money Order
Personal Check (A delay may occur)
SIGNATURE
ORDER BY PHONE
248-373-2300
FAX
248-373-5950
Mon.-Fri. 9:00 am-6:00 pm Sat. 9:00 am-3:00 pm
THANK YOU for your order!
*Any questions on an order already placed?
Call Customer Service @ (248)373-2315
NORMAL PACKAGE
DELIVERY IS VIA U.P.S.
GROUND SERVICE. IF
YOU'RE IN A HURRY
WE WILL BE HAPPY
TO SHIP YOUR ORDER
NEXT DAY AIR OR
2ND DAY AIR. CALL
FOR RATES ON
SPECIAL HANDLING.
APPROXIMATE FREIGHT CHARGES
Total
All Michigan All Other California
Weight (lbs)
Ohio
States
Washington Hawaii
of order
Indiana
except
Oregon
Alaska
0-5
9.99
10.99 11.99
6-10
10.99
11.99 13.99
11-30
14.50
21.15
25.15
31-50
17.80
27.00
35.80
51-70
22.05
30.80
40.70
70+ Please call salesperson for rate
We operate like a walk-in business, we don't make a profit on SHIPPING.
SHIPPING IS NOT REFUNDABLE.
MY CARD
EXPIRES
PARTS TOTAL
ADD POSTAGE/HANDLING
SEE CHART
ADD CORE CHARGES
SALES TAX (MI. RES. ONLY) 6%
ADD $10.00 FOR C.O.D
.
ORDER TOTAL $
If you can't give part number, look in your catalog for number, call us for the number or just describe it.
NEXT DAY AIR
2ND DAY AIR
SHIPPING ADDRESS
(If Different from Mailing Address)
Name _____________________________________________
Street
Apt.
Address _________________________________No. _______
PO Rural
R.R.
Box _____________________ Route________ Box ________
Zip
City _____________________ State _______ Code ________
*Daytime Phone (________) ________-__________________
*Night Phone (________) ________-__________________
MAILING ADDRESS (Credit Card Billing Address)
Name _____________________________________________
Street
Apt.
Address _________________________________No. _______
PO Rural
R.R.
Box _____________________ Route________ Box ________
Zip
City _____________________ State _______ Code ________
*Daytime Phone (________) ________-__________________
*Night Phone (________) ________-__________________
IF YOU HAVE MOVED SINCE YOUR LAST ORDER or the address on
the catalog was wrong, please show old address and Zip Code here.
Name _____________________________________________
Street
Apt.
Address _________________________________No. _______
PO Rural
R.R.
Box _____________________ Route________ Box ________
Zip
City _____________________ State _______ Code ________
*Daytime Phone (________) ________-__________________
*Night Phone (________) ________-__________________
Freight
CALL
C.O.D.
CHARGE
$10.00
CATALOG
PAGE #
PART NUMBER
D/
P
PARTS DESCRIPTION
QTY
UNIT
PRICE
EXTENDED
PRICE
DRIVER OR
PASSENGER SIDE
2300 N. Opdyke Rd. Auburn Hills, MI 48326
248-373-2300 FAX 248-373-5950
www.partsplaceinc.com
YEAR___________ MAKE___________ MODEL__________ BODY TYPE________ COLOR__________
VW (BEETLE,GTI,ETC.) (2DR, 4DR, WAGON)
EQUIPMENT - A/C________P/S_________P/B_________P/W_________P/L_________CRUISE_______
TRANSMISSION - 4 SPEED______________ 5 SPEED________________ AUTOMATIC______________
ENGINE - GAS____________ DIESEL_______________ SIZE___________________________________
(1.6L, 1.8L, 2.0L)
for
all
Volkswagens
Parts
Place
inc.
TELL US ABOUT
YOUR VEHICLE!
PLEASE FILL OUT COMPLETELY USE
A SEPARATE ORDER FORM FOR EACH
DIFFERENT VEHICLE
METHOD OF PAYMENT